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Dr Kirk Honda answers patron emails.

00:00 Evidence based therapy

11:37 Couple & Family Therapy academics

29:11 "I'm not their therapist"

32:44 Finding a therapist for an abusive relationship

45:31 Foster homes

46:16 OPP

52:06 Therapist with too much self-disclosure

55:48 Is it normal to feel underprepared to see clients?

1:01:07 Choosing a type of therapy for your practice


Therapist Questions and Abusive Couples in Therapy

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May 12, 2023

The Psychology In Seattle Podcast ®

Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.

Disclaimer: The content provided is for educational, informational, and entertainment purposes only. Nothing here constitutes personal or professional consultation, therapy, diagnosis, or creates a counselor-client relationship. Topics discussed may generate differing points of view. If you participate (by being a guest, submitting a question, or commenting) you must do so with the knowledge that we cannot control reactions or responses from others, which may not agree with you or feel unfair. Your participation on this site is at your own risk, accepting full responsibility for any liability or harm that may result. Anything you write here may be used for discussion or endorsement of the podcast. Opinions and views expressed by the host and guest hosts are personal views. Although, we take precautions and fact check, they should not be considered facts and the opinions may change. Opinions posted by participants (such as comments) are not those of the hosts. Readers should not rely on any information found here and should perform due diligence before taking any action. For a more extensive description of factors for you to consider, please see www.psychologyinseattle.com

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Anonymous

I so recognised the "no nonsense" cbt gone wrong therapy proclivity; when I was looking for a therapist it seemed 90% of dutch therapist have this mentality of "we'll fix you within 5-10 session guarantee." Some even advertise with this statement! As a person that struggles to recognise / take seriously my own emotions, that felt really unwelcoming and made me want to run away from therapy rather than towards it. Thanks for your insights on this and let's hope we can still turn things around in terms of people being trained with a different mindset.

Anonymous

One of my kids had a severe needle phobia and we took him to a CBT therapist. Our therapist presented as a very kind, compassionate therapist. Not like the pick your self up by the boot-straps kind. Maybe he engaged in other kinds of therapy too. He did define a time line for us. Or a goal that we would have a set number of sessions. Exposing my son with the needles actually did not seem to get rid of his fear actually. Because he had no actual anxiety about the needle. I think his anxiety was the anticipation of the pain. So in the end we ended up having to hold him down to get the shot he needed, and was he very combative. It was me, my brother, and 3 nurses. His heart was pounding super fast and hard. He was sweating. But as soon as the needle went in he went limp and he relaxed. He actually said, "That was it?" He even laughed about it afterwards feeling a bit silly he was afraid of that. So in a way, the whole experience was the ultimate exposure therapy I guess lol. (I am dreading the day he needs his blood drawn though, because that is not as quick of a process.) I think the therapy with the CBT therapist itself was still beneficial though, because it showed him that we took his fears seriously and sincerely wanted to help him. I am sure that helped a lot. Before therapy, soon as we entered the treatment room he was screaming, wailing, holding onto the door frame, and even ran out of the room an backed himself in a corner and kicked and screamed. After the therapy he at least entered the treatment room and tried to sit still. Until he saw the nurse with the actual tray. Then he started to panic. It was still a huge improvement. Also, we tried to bribe him with a VR game headset. Which actually does not work by the way. He still did not want to go. I guess that is a validation that the fear is serious in a child.